Individual
MRS. SHAWNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3826 S 186TH AVE, OMAHA, NE 68130-6029
(402) 415-1712
Mailing address
3826 S 186TH AVE, OMAHA, NE 68130-6029
(402) 415-1712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12121957
NE
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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